Prescriptions
Repeat Prescriptions
You may obtain repeat prescriptions using one of the following methods:
- In person at the surgery - you can fill in a request slip and place in the box for processing.
- Online using Patient Access - via the link at the top of this page. Forms can be obtained at reception to register for this service. Please note this is for repeat prescription ordering only.
- Via the NHS App - click here to find out more.
- Via this website – if you are not registered for online services you can order or raise a query using this link.
Please note that we do not accept repeat prescription requests over the phone.
48 hours notice is required for a repeat prescription. Some local chemists will collect prescriptions on your behalf.
We believe the electronic way of ordering prescription is the fastest and most convenient. In order to be able to order your prescriptions online you will need to register on the NHS app or on www.patient.co.uk and then contact the GP surgery and ask for the activation key. Once you complete this you will be able to order your prescription whenever it’s convenient for you 24/7. Many patients are already registered for the service and it saves patients a lot of time.
If you have a blister pack, the pharmacy will continue to order for the patient in order to prepare your blister pack.
If you wish to collect your prescription from a nominated chemist, please inform the chemist that they will have to pick your prescription up from the surgery.
Please do not order your prescription too early as this will not be processed. We ask for 5 working days before your prescription is due. If you are going on holiday and need your prescription early please tell the receptionist. Thank you.
Please do not send children to collect prescriptions. We cannot give prescriptions to anyone under the age of 16.
Acute Prescriptions
On occasion, patients will require a prescription for an acute illness such as a urine infection or chest infection. Please contact our enquiry line and an appropriate prescription or appointment with the doctor will be arranged.
Please note that these requests will only be taken up to 16:00 each day.
Important Information for patients using the Weight Loss injections Mounjaro and Wegovy and Oral Progesterones for Contraception or HRT
Mounjaro and Wegovy injections contain the active ingredients tirzepatide and semaglutide respectively. These are from the class of medicines known as GLP-1 agonists and are currently licensed for diabetes and/or weight loss.
Using these injections may affect how well progesterone is absorbed when taken by mouth (orally), this will mainly implicate oral contraception and hormone replacement therapy (HRT).
At The Oak Gables Partnership, we do not currently prescribe GLP-1 agonists for weight loss, but some of our patients choose to have these medications prescribed by private providers.
Whilst it is the private provider’s responsibility to ensure patients are aware of the risks and benefits associated with the medication they prescribe, we want to give the following advice to our patients.
If you take the oral Contraceptive Pill (i.e. the combined pill, or the progestogen only pill/”mini pill”) and MOUNJARO
The progesterone component of the pill may not be absorbed adequately when using Mounjaro injections, reducing how well it works at preventing pregnancy.
No contraception methods are 100% reliable, but the following advice has been given by the Faculty of Sexual and Reproductive Healthcare.
If you are using Mounjaro you should use a barrier method of contraception (e.g. condoms) in addition to your pill for four weeks after starting the medication, and for four weeks after any increase in dose.
Alternatively, you may wish to consider another (non-oral) method of contraception whilst using Mounjaro.
There is currently no evidence that other weight loss injections including semaglutide (Wegovy) reduce the effectiveness of oral contraception.
Diarrhoea and vomiting are common side effects of this class of medication, and this can reduce the effectiveness of the pill. If vomiting occurs within three hours of taking the contraceptive pill, or severe diarrhoea occurs for more than 24 hours, you should follow the guidance for missed pills. You should consider an alternative non-oral method of contraception or the addition of condoms if diarrhoea or vomiting persists.
More information is available on this link: GLP-1 agonists and Contraception
If you are using oral progesterone (e.g. Utrogestan, micronized progesterone, Gepretix, medroxyprogesterone, norethisterone) as part of your Hormone Replacement Therapy (HRT) and MOUNJARO or WEGOVY
The oral progesterone may not be absorbed adequately when using Mounjaro or Wegovy injections, which may increase your risk of harmful thickening of your womb lining.
Guidance has been released by the British Menopause Society with some recommendations to help mitigate this risk.
The options they suggest are:
- Switching from oral progesterone to the progesterone releasing IUD (coil), e.g. Mirena
- Switching from oral progesterone to a combination progesterone/oestrogen releasing patch (this will also mean a change to your oestrogen product)
- Increasing the dose of oral progesterone for four weeks after initiation of the weight loss injection and for four weeks after any dose increase. Though they have suggested doses to use, there is some uncertainty about this, and a non-oral progesterone product is preferred.
The option chosen needs to be a joint decision between you and your prescriber, after careful discussion about the pros and cons of each option.
DO NOT make any changes to how you use your HRT products without consulting your prescriber.
Please contact the surgery if you would like to discuss this further and we haven’t already invited you to make an appointment.
Page created: 05 June 2023